ST. MARY MEDICAL CENTER (NPI# 1982899266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982899266 |
| Entity Type | Organization |
| Organization Name | ST. MARY MEDICAL CENTER |
| Practice Address |
401 W Poplar St Walla Walla WA 99362-2846 |
| Mailing Address |
401 W. Poplar St. Walla Walla WA 99362 |
| Practice Telephone | 5095225514 |
| Practice Fax Number | 5095225504 |
| Mailing Telephone | 5095225514 |
| Mailing Fax Number | 5095225504 |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2007-09-11 |
| Authorized Official Name | REBECCA HAWKINS (NURSE PRACTITIONER CME COORDINATOR) |
| Authorized Official Telephone | 5095225514 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | AP30003015 | WA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 9607870 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669456299 | St. Mary Medical Center | General Acute Care Hospital | 18300 Highway 18, Apple Valley, CA 92307 | 2005-12-06 |
| 1285007419 | St. Mary Medical Center | Clinic/Center | 1045 Atlantic Ave, Suite 914, Long Beach, CA 90813-3408 | 2015-11-10 |
| 1740698497 | St. Mary Medical Center | General Acute Care Hospital | 1707 N Henderson St, Galesburg, IL 61401-1320 | 2014-07-25 |
| 1487078796 | St. Mary Medical Center | Ambulance | 1201 Langhorne Newtown Rd, Langhorne, PA 19047-1201 | 2014-02-06 |
| 1043406440 | St. Mary Medical Center | Advanced Practice Midwife | 18077 Us Highway 18, Apple Valley, CA 92307-2150 | 2007-09-19 |
| 1700921541 | St. Mary Medical Center | Internal Medicine | 2241 45th St, Highland, IN 46322-2601 | 2007-02-20 |
| 1952458564 | St. Mary Medical Center | Nurse Anesthetist, Certified Registered | 1500 S Lake Park Ave, Hobart, IN 46342-6638 | 2007-01-04 |
| 1457425605 | St. Mary Medical Center | Internal Medicine | 300 W 80th Pl, Ste A, Merrillville, IN 46410-5456 | 2006-11-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ST. MARY MEDICAL CENTER | 1201 Langhorne - Newtown Rd, Langhorne, PA 19047-1201 |
| Washington State Corporations | ST. MARY MEDICAL CENTER | 401 W Poplar St, Walla Walla, WA 99362 |
| Indiana Business Entities | ST. MARY MEDICAL CENTER DEVELOPMENT, LLC | St. Mary Medical Center, 1500 S. Lake Park Ave., Hobart, IN 46342 |
| System for Award Management (SAM) Entities | ST. MARY MEDICAL CENTER FOUNDATION | 1050 Linden Ave, Long Beach, CA 90813-3321 |
| System for Award Management (SAM) Entities | ST. MARY MEDICAL CENTER, INC. | 1500 S Lake Park Ave, Hobart, IN 46342-6638 |
| Street Address |
401 W POPLAR ST |
| City | WALLA WALLA |
| State | WA |
| Zip Code | 99362-2846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720083686 | Timothy G Caudill | Anesthesiology | 401 W Poplar St, Walla Walla, WA 99362-2846 | 2005-06-16 |
| 1609476605 | Aimy Ung | Pharmacist | 401 W Poplar St, Walla Walla, WA 99362-2846 | 2020-10-28 |
| 1043856578 | Robert John Brawders | Pharmacist | 401 W Poplar St, Walla Walla, WA 99362-2846 | 2019-11-19 |
| 1205472735 | Timothy Steven Zaske | Pharmacist | 401 W Poplar St, Walla Walla, WA 99362-2846 | 2019-11-19 |
| 1174164842 | Nika Marie Carter-lee | Registered Nurse | 401 W Poplar St, Walla Walla, WA 99362-2846 | 2019-10-03 |
| 1215578026 | Shelby Paulsen | Health Educator | 401 W Poplar St, Walla Walla, WA 99362-2846 | 2019-10-02 |
| 1023667714 | Jennifer Simpson | Registered Nurse | 401 W Poplar St, Walla Walla, WA 99362-2846 | 2019-09-05 |
| 1598311524 | Paige Ayako Akiyama | Pharmacist | 401 W Poplar St, Walla Walla, WA 99362-2846 | 2019-08-15 |
| 1417518739 | Nicholas Wayne Begick | Dietitian, Registered | 401 W Poplar St, Walla Walla, WA 99362-2846 | 2019-06-26 |
| 1760944359 | Natasha Montgomery | Registered Nurse | 401 W Poplar St, Walla Walla, WA 99362-2846 | 2019-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164065959 | Kevin Gia-minh Phan | Optometrist | Walla Walla Vamc Bldg 86, Walla Walla, WA 99362 | 2019-10-24 |
| 1659836401 | Arlene Lavonne Whitney | Social Worker | 1361 Dalles Military Road, Walla Walla, WA 99362 | 2019-02-06 |
| 1053880674 | Julie Ann Cooke | Speech-Language Pathologist | Providence St. Mary Medical Center, 401 W. Poplar St., Walla Walla, WA 99362 | 2018-11-14 |
| 1558887133 | Chantey Walker | Massage Therapist | 1840 Pleasant St, Walla Walla, WA 99362 | 2017-08-16 |
| 1447798723 | Carrie S Diede | Speech-Language Pathologist | 410 West Poplar Street, Rehabilitation Services, Walla Walla, WA 99362 | 2017-02-07 |
| 1235584103 | Anchor Point Counseling Pllc | Clinic/Center | 2330 Eastgate St. Ste. 140, Walla Walla, WA 99362 | 2016-04-28 |
| 1548627011 | Washington State Walla Walla Veterans Home | Skilled Nursing Facility | 92 Wainwright Drive, Walla Walla, WA 99362 | 2016-01-28 |
| 1073926200 | Sherry Goff | Registered Nurse | 11120 W Rose St, Family Medical Center, Walla Walla, WA 99362 | 2014-06-05 |
| 1538597935 | Michael Wade Gillespie | Orthopaedic Surgery | 101 Brookside Drive, Walla Walla, WA 99362 | 2013-10-22 |
| 1023357985 | Sandra Kay Bushnell | Speech-Language Pathologist | 1105 Isaacs Ave, Walla Walla, WA 99362 | 2013-02-12 |
| Find all providers in zip 99362 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386895886 | Providence Health & Services - Washington | General Acute Care Hospital | 401 W Poplar St, Walla Walla, WA 99362-2846 | 2008-10-02 |
| 1740393008 | St Mary Medical Center | General Acute Care Hospital | 401 W Poplar, Walla Walla, WA 99362 | 2006-08-17 |
| 1356393805 | Walla Walla Vamc | General Acute Care Hospital | 77 Wainwright Dr, Walla Walla, WA 99362-3975 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104373604 | University of Washington Medicine | General Acute Care Hospital | 525 N Bowdoin Pl, Apt 101, Seattle, WA 98103 | 2016-09-01 |
| 1043610157 | Providence | General Acute Care Hospital | 4528 Purdue Avenue Northeast, Seattle, WA 98105 | 2014-08-26 |
| 1861820680 | Lurch Surgical | General Acute Care Hospital | 2580 Lake Whatcom Blvd, Bellingham, WA 98229-2721 | 2013-10-15 |
| 1881027654 | Swedish Medical Group | General Acute Care Hospital | 600 University St Ste 1200, Seattle, WA 98101-3300 | 2013-08-15 |
| 1578902870 | Miami Valley Hospital | General Acute Care Hospital | 1800 E Shelby St, Seattle, WA 98112-2022 | 2013-06-19 |
| 1730484890 | Harborview Medical Center | General Acute Care Hospital | 5218 35th Avenue S., Seattle, WA 98118 | 2011-01-21 |
| 1336456110 | Elweda Silva | General Acute Care Hospital | 31054 1st Pl Sw, Federal Way, WA 98023 | 2010-09-01 |
| 1891012787 | Joan M. Winsor, Md | General Acute Care Hospital | 28 Wandling Rd, Winthrop, WA 98862-9714 | 2010-05-01 |
| 1144461971 | Rolland Edward Dibble | General Acute Care Hospital | 103 Rockwell Ave, Suite B-13, Port Orchard, WA 98366-5204 | 2009-03-06 |
| 1821248402 | Providence | General Acute Care Hospital | 5019 126th St Ne, Marysville, WA 98271-9062 | 2008-09-19 |
| Find all providers with the same taxonomy | ||||
| City | WALLA WALLA |
| Zip Code | 99362 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.